SHOPKO PHARMACY 039
NPI 1093766362
Pharmacy - Community/Retail Pharmacy in Lincoln, NE

Active since May 12, 2006
4200 S 27TH ST, LINCOLN, NE 68502(402) 421-2444(402) 421-1782 Get Directions Write a Review

NPPES record last updated: August 27, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shopko Pharmacy 039 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHOPKO PHARMACY 039 (NPI 1093766362) is a healthcare organization registered as a community/retail pharmacy in Lincoln, Nebraska and active in the NPI registry since May 2006. The organization lists Michael J Bettiga, Sr. Vice President Health Services, as its authorized official.

NPPES Registry Identity

NPI1093766362
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address4200 S 27TH STLincoln, NE 68502-5858
Mailing Address4200 S 27th StLincoln, NE 68502-5858 · (402) 421-2444 · Fax (402) 421-1782
Fax(402) 421-1782
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 12, 2006
Last NPPES UpdateAugust 27, 2013
NPI 1093766362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in NE · 2677
Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedEyewear SupplierTaxonomy 332H00000X
4200 S 27TH ST, Lincoln, NE 68502

Other Names 1

Doing Business AsShopko Pharmacy 039

Other Identifiers 5

Medicaid10025413700NE
Medicaid10025074200NE
Medicare ID-Type Unspecified1111590037
Other2811140Ncpdp
Medicare NSC5695760064

Reviews for SHOPKO PHARMACY 039

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Optometrist
4200 S 27TH ST
LINCOLN, NE 68502
Eyewear Supplier
4200 S 27TH ST
LINCOLN, NE 68502
Eyewear Supplier
4200 S 27TH ST
LINCOLN, NE 68502
Eyewear Supplier
4200 S 27TH ST
LINCOLN, NE 68502

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093766362, enumerated as an "organization" on May 12, 2006.

The provider is located at 4200 S 27TH ST LINCOLN, NE 68502 and the phone number is (402) 421-2444.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.